Lin et al TM Lectin-Like Domain and Le y in Inflammation 2367recombinant TMD1 (rTMD1) has been shown to attenuate inflammation by inhibiting complement activation 8 and sequestering high mobility group box B1 protein. 9 However, except for high mobility group box B1, other interacting molecules of TMD1 that may participate in anti-inflammation are still unknown.Previously, we demonstrated that Lewis Y (Le y ; Fucα1-2Galβ1-4(Fucα1-3)GlcNAcβ1-R) is a specific carbohydrate ligand of rTMD1. 10,11 Le y is known to be highly expressed in epithelial cells, especially in cancer tissues, 12 where Le y mediates cell adhesion, 13,14 proliferation, 15,16 and apoptosis. 13,17,18 Meanwhile, recent studies have demonstrated that Le y is upregulated in synovial endothelium and joint fluid in rheumatoid arthritis. 19,20 Le y is also found to be expressed on intercellular adhesion molecule-2 (ICAM-2) on endothelial cells. ICAM-2 is a ligand of dendritic cell-specific C-type lectin, dendritic cell-specific ICAM-3-grabbing nonintegrin. The interaction of dendritic cell-specific ICAM-3-grabbing nonintegrin with ICAM-2 on vascular endothelium is Le y dependent and is essential for dendritic cell-specific ICAM-3-grabbing nonintegrin recruitment into tissues to mediate immune responses. 21,22 These findings suggest that interaction of Le y with lectin-containing receptor might be involved in recruitment of leukocytes in inflammatory responses. Because Le y is a specific ligand of rTMD1, we hypothesize that rTMD1/ Le y interaction on endothelial cells would influence leukocyte recruitment, thereby suppressing inflammation.To test our hypothesis, we examined the expression and function of Le y in endothelial cells under inflammatory conditions and studied the effect of rTMD1/Le y binding on anti-inflammation in vitro and in vivo. We discovered that leukocyte recruitment was interfered by rTMD1/Le y interaction. Animal inflammation models of thioglycollate-induced peritonitis, carotid ligation injury, and atherosclerosis were applied to further evidence the protective effect of rTMD1. On the basis of these findings, we provide a novel mechanism that rTMD1 decreases leukocyte recruitment by binding to Le y and may further attenuate inflammatory responses.
Materials and MethodsMaterials and Methods are available in the online-only Supplement.
Results
Le y Mediates Leukocyte Adhesion on InflammationTo investigate the role of Le y in inflammation, we initially tested whether Le y expression in endothelial cells would be induced by stimulation of the proinflammatory cytokine, tumor necrosis factor-α (TNF-α). As shown in Figure 1A, mRNA levels of fucosyltransferase 1 (FUT)1, FUT2, and FUT4 for Le y synthesis 23 in endothelial cells were measured. The expression of FUT4 and FUT1 was significantly increased after TNF-α stimulation for 12 and 24 hours, respectively; meanwhile, no significant difference was found in the expression of FUT2. In addition, higher Le y expression on the surface of endothelial cells was observed using flow cytometry and...